# KENNETT DENTAL ASSOCIATES, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kennett Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104658582
- **Authorized official:** DR. ALEXANDRA PARK DMD (DENTIST)
- **Authorized official phone:** (267) 266-0423

## Contact information

- **Practice address:** 402 MCFARLAN RD STE 303, KENNETT SQUARE, PA 19348-2453
- **Practice address phone:** (610) 444-4033
- **Practice address fax:** (610) 444-8963
- **Mailing address:** 402 MCFARLAN RD STE 303, KENNETT SQUARE, PA 19348-2453
- **Mailing address phone:** (610) 444-4033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/15/2024
- **Last updated:** 08/15/2024